scholarly journals Turnaround in an aged persons' mental health service in crisis: a case study of organisational renewal

2008 ◽  
Vol 32 (3) ◽  
pp. 577 ◽  
Author(s):  
Simon Stafrace ◽  
Alan Lilly
Keyword(s):  
Mental Health ◽  
Nursing Home ◽  
Mental Health Service ◽  
Health Service ◽  
Health Program ◽  
Mental Health Program ◽  
Public Confidence ◽  
Senior Executive ◽  
Executive Managers

This case study demonstrates how leadership was harnessed to turn around a decline in the performance of an aged persons? mental health service ? the Namarra Nursing Home at Caulfield General Medical Centre in Melbourne, Australia. In 2000 the nursing home faced a crisis of public confidence due to failings in the management of quality, clinical risk and human resources within the service. These problems reflected structural and operational shortcomings in the clinical directorate and wider organisation. In this article, we detail the process of turnaround from the perspective of senior executive managers with professional and operational responsibility for the service. This turnaround required attention to local clinical accountability and transformation of the mental health program from a collocated but operationally isolated service to one integrated within the governance structures of the auspicing organisation.

scholarly journals Morbidity profile of patients attending the centers for mental health service provided jointly by the Government of Nepal and Community mental health service of Community Mental Health and Counseling- Nepal (CMC-Nepal)

2013 ◽  
Vol 2 (1) ◽  
pp. 14-19 ◽  
Author(s):  
KD Upadhyaya ◽  
B Nakarmi ◽  
B Prajapati ◽  
M Timilsina
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Health Services ◽  
Health Program ◽  
Health Workers ◽  
Mental Health Program ◽  
Community Mental Health Program ◽  
The Government

Introduction: Community mental health program initially conducted in Lalitpur district by UMN and later in the western region demonstrated the possibility of providing mental health services in the primary health care level if proper mental training is provided to different levels of health workers and the program is well supervised. Community Mental Health and Counseling- Nepal (CMC-Nepal) extended the same model of community mental health program to several other districts of the country after taking permission from the Ministry of Health and Population. The basic objective of the study was to prepare morbidity profile of patients attending the centers for mental health conducted jointly by the government of Nepal and Community Mental Health and Counseling- Nepal (CMC-Nepal). Material and method: Ten days block training in mental health for health assistant (HA) and Auxiliary Health Workers (AHW) was conducted by the CMC-Nepal. Senior psychiatrists, psychologists and psychiatric nurse were the trainers. Materials like mental health manual, audiovisuals, flip charts and case stories were used during training by the facilitators. An especially developed patient record card was used for case record, diagnosis and treatment. The study was carried out in between July 2010 to June 2011. A total of 6676 cases were studied during the study period. Results: Community mental health program identified 4761 total new cases in 12 months (July 2010 to June 2011), out of which 2821 were females (59%) and 1940 were males (41%). Similarly total old cases both females and males were 6676 registered in these centers for treatment. Out of all new cases patients with Anxiety Neurosis emerged as the largest group (50%) followed by Depression (24.88%). Other commonly diagnosed conditions were Epilepsy (7.5%), Psychosis (5.3%) and Conversion disorder (5.7%) and unspecified cases (6.5%). The implications of the results are discussed, in the current context. Conclusion: Mental health services need to be provided at the community so as to prevent cases of prolonged subjection to mental illness and also prevent cases of stigma and discrimination. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8569 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 14-19

Integration of General Practitioners and Mental Health Services: The Northern Queensland Integrated Mental Health Program

1999 ◽  
Vol 5 (2) ◽  
pp. 20
Author(s):  
Maureen Alsop ◽  
Kristine Battye
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Program ◽  
Mental Health Problems ◽  
Mental Health Program ◽  
Integrated Mental Health

The Integrated Mental Health Program is a joint initiative of the Northern Queensland Rural Division of General Practice, Townsville Division of General Practice, and the Townsville District Integrated Mental Health Service (IMHS).The program seeks to empower general practitioners (GPs) to meet current gaps in mental health service delivery in North Queensland, and establish better liaison and integration of services provided by GPs and by hospital and community based mental health professionals. Sixty-three GPs and twenty-four mental health professionals were interviewed across the two divisions to identify barriers encountered in the management of people with mental health problems. The barriers identified fell into three broad categories: those related to referral, to discharge, and to communication. A two-week audit of the IMHS intake and discharge processes provided further data to clarify the difficulties involved in the integrated management of patients with mental health problems. Two-week audits are to be conducted at six monthly intervals throughout the course of the program as a tool for evaluation of the program's effectiveness. General findings from the audit indicate that, although the levelof GP referrals judged by mental health professionals to be inappropriate is low, the lack of information GPs provide when referring may create ambiguity regarding the appropriateness of their referrals, thus creating the perception that they make inappropriate referrals at a higher rate than is in fact the case. Strategies for improving communication between GPs and existing mental health services are being explored, with early initiatives towards a system of shared care being developed.

scholarly journals Toxic Nightlife Relationships, Substance Abuse, and Mental Health: Is There a Link? A Qualitative Case Study of Two Patients

2021 ◽  
Vol 11 ◽  
Author(s):  
Sandra Racionero-Plaza ◽  
Juan Antonio Piñero León ◽  
Manuel Morales Iglesias ◽  
Leire Ugalde
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Drug Addiction ◽  
Substance Use Disorders ◽  
Social Relationships ◽  
Health Program ◽  
Qualitative Case Study ◽  
Mental Health Program ◽  
Quality Relationships

Introduction and Aims: This article explores the role of toxic close relationships in night life on substance use disorders and mental health conditions. We also contrast the quality and effects of social relationships when doing drugs with those produced by a mental health program that fosters quality relationships between patients.Design and Methods: This qualitative case study was carried out at a mental health day care center of a hospital in Malaga (Spain). The cases of two patients with severe mental disorders and a history of drug addiction were analyzed. Data were collected through in-depth interviews with every patient, semi-structured interviews about each patient with the psychologist of the medical team of the program, and medical documentation. The analysis involved a combination of inductive and deductive approaches.Results: The analysis of the data revealed, on the one hand, the influence of toxic relationships in nightlife, including violent sporadic sexual relationships, in the initiation and persistence of substance use that took part of the mental health disorder in these patients. On the other hand, the findings show that these participants' current involvement in a mental health program, which fosters quality relationships between patients, has brought emotional benefits to both of them.Discussion and Conclusion: This paper points out the relevance of considering quality of social relationships when examining substance use disorders and related mental health problems. Additionally, the findings indicate the importance of fostering quality peer relationships in mental health rehabilitation programs addressed to patients with histories of drug addiction to improve treatment outcome.

scholarly journals The crucible of co-production: Case study interviews with Recovery College practitioner trainers

2019 ◽  
Vol 78 (8) ◽  
pp. 977-987
Author(s):  
Mark Dalgarno ◽  
Jennifer Oates
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Healthcare Professionals ◽  
Mental Healthcare ◽  
Single Site ◽  
Future Research ◽  
Service Users ◽  
Structured Interviews

Objectives: This study explored healthcare professionals’ accounts of being practitioner trainers in a mental health Recovery College, where they worked with peer trainers, who were people with lived experience of mental illness, to co-produce workshops for mental health service users and staff. The aim of this study was to understand the process of co-production in the Recovery College from the perspective of practitioner trainers. Design: Single-site case study. Setting: A Recovery College in the South of England, open to staff and service users from one mental health care provider organisation. Methods: Semi-structured interviews with eight mental healthcare professionals. Transcripts were thematically analysed. Results: A central image of ‘the workshop as crucible’ emerged from the three themes derived from the analysis. Co-facilitating the workshop was a ‘structured’ encounter, within which health professionals experienced ‘dynamism’ and change. For them, this involved experiences of ‘challenge and discomfort’. Conclusion: Findings from this study contribute to the evidence base for the evaluation of Recovery Colleges by focusing on the training impact on staff. Findings suggest that taking on a trainer role in Recovery College co-production is beneficial for healthcare professionals as well as mental health service users, especially if healthcare professionals are open to the dynamism and possible discomfort of these workshop encounters. Future research, however, should expand beyond single-site case studies to test the extent to which this metaphor and themes are appropriate to describing the ‘transformative’ element of co-production.

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